BOWEL - Adenocarcinoma

The specimen is a portion of large bowel. There is a large tumour infiltrating through the full thickness of the bowel wall into the pericolicl fat. The tumour is exophytic with rolled margins and there is central ulceration. Extensive areas of necrosis are seen throughout the tumour. Several nodes contain metastatic tumour deposits. Also included is a portion of omentum; this contains multiple nodules of tumour the largest of which measures 1.8cm in diameter. Histologic examination of the tumour revealed moderately differentiated adenocarcinoma, ACPS Stage D.